Greenlight laser PVP surgery

Posted by MarkMD1112 @mahmudhasan, Jul 14, 2023

Has anyone had Greenlight laser PVP (photosynthetic vaporization of prostate) surgery for bladder neck obstruction? If so, (1) when did you have it?, (2) what was your experience in the short term (up to 6 months) after surgery? and (3) what has been your experience after the first 6 months? Any candid comments, insights, and/or suggestions would be greatly appreciated.

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I had the GreenLight Laser Dec/2022. Short term.....I was able to pass urine for about 4-5 weeks, but flow continued to be slower, slower and slower. I ended up returning to Urology who did a scan of my bladder ( Crypto something, not sure what it is called.) Urology says my passage was no fully opened. The neck was open, but further down was still narrowed. The Green Light can only go so far in the urinary tract. Urology is scheduling me for Hotep (?) to open the passageway. With the GreenLight clearing the upper neck opening, and the Hotep cleaning the rest of the canal, I think this is the way to go.

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Maybe choose HoLEP first?

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I am 76 yr old. I am scheduled for Greenlight laser therapy for BPH. I am hoping to hear others experience with this surgery.

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@petr

I am 76 yr old. I am scheduled for Greenlight laser therapy for BPH. I am hoping to hear others experience with this surgery.

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Had this procedure done.....it worked for about 4 weeks, then back to bloockage. I ended up getting the Holep procedure and after 8 months all good.

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@petr

I am 76 yr old. I am scheduled for Greenlight laser therapy for BPH. I am hoping to hear others experience with this surgery.

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After laser did you develop urinary stricture?
What was the cause of blockage in 4 weeks?
I developed stricture 4 weeks after laser ,blockage.
It was bad experience.
Please let me know.
Thank you.

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@petr

I am 76 yr old. I am scheduled for Greenlight laser therapy for BPH. I am hoping to hear others experience with this surgery.

Jump to this post

My urine flow got slower and slower and slower over the 4 week period.....I was fine for about 10 days, then slowly went back to blockage . MY urologist did not give me a reason, he just immediately scheduled the Holep. Tremendous difference, had the blood in urine for about a week, then slowly climbed back to good urine flow...it really made a diffference.

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@petr

I am 76 yr old. I am scheduled for Greenlight laser therapy for BPH. I am hoping to hear others experience with this surgery.

Jump to this post

@petr, in addition to the replies you've already received, also see the comments here:
- Greenlight laser PVP surgery
https://connect.mayoclinic.org/discussion/greenlight-laser-pvp-surgery/

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